Page 42 - FPGEE Management Q&A Book

www.pharmacyexam.com Krisman

74. (d) A facility that provides rehabilitative, Drug A reduces an average blood pressure by
restorative, and/or ongoing skilled nursing care to 20mm/hg, and drug B lowers an average blood
patients or residents in need of assistance with pressure by 40mm/hg. If both drugs cost the same,
activities of daily living is known as a Long Term than drug B would be a better choice to treat
Care Facility (LTCF). hypertension.

Skilled Nursing Facility (SNF) is a health-care 77.(d) “Perceived barriers” is the most powerful
institution that meets federal criteria for Medicaid concept of the Health Belief Model (HBM). The
and Medicare reimbursement for nursing care Health Belief Model (HBM) is a psychological model
including especially the supervision of the care of that attempts to explain and predict health
every patient by a physician, the employment full- behaviors. This is done by focusing on the attitudes
time of at least one registered nurse, the and beliefs of individuals.
maintenance of records concerning the care and
condition of every patient, the availability of nursing The HBM was first developed in the 1950s by social
care 24 hours a day, the presence of facilities for psychologists Hochbaum, Rosenstock and Kegels
storing and dispensing drugs, the implementation of who were working in the U.S. Public Health
a utilization review plan, and overall financial Services. The HBM is based on the understanding
planning including an annual operating budget and that a person will take a health-related action (i.e.
a 3-year capital expenditures program. use condoms)

75. (d) The compounded Codeine solution that if that person:
contains not more than 200 mg of Codeine per 100
cc of solution is classified under Schedule V. When 1. Feels that a negative health condition (i.e. HIV)
this amount is greater than 200mg/100cc or less can be avoided;
than 1.8 gm/100 cc, it is classified as a Schedule III
controlled drug. 2. Has a positive expectation that by taking a
recommended action, he/she will avoid a negative
76.(b) I and II only. health condition (i.e. using condoms will be
effective at preventing HIV), and
Cost-Effective Analysis (CEA):
3. Believes that he/she can successfully take a
In this type of analysis, costs and consequences recommended health action (i.e. he/she can use
(outcomes) are simultaneously measured; costs are condoms comfortably and with confidence).
measured in monetary terms (dollar value), and
consequences (outcomes) are measured in terms of The HBM was spelled out in terms of four
an obtained unit of effectiveness. constructs representing the perceived threat and
net benefits: perceived susceptibility, perceived
This type of analysis differs from the cost-benefit severity, perceived benefits, and perceived barriers.
analysis in that the therapeutic outcomes or
consequences are measured in non-monetary These concepts were proposed as accounting for
terms. people’s “readiness to act.” An added concept, cues
to action, would activate that readiness and
Cost ($) stimulate overt behavior.
CEA =
Therapeutic effects (Natural units)
A recent addition to the HBM is the concept of self-
An example of a cost-effective analysis would be efficacy, or one’s confidence in the ability to
treating hypertensive patients with two different successfully perform an action. This concept was
drugs, drug A and drug B. added by Rosenstock and others in 1988 to help the

87